DR. SOLOMON C MOGBO (M.D) – Internal Medicine Physician, NPI 1083615348

DR. SOLOMON C MOGBO (M.D) is a healthcare provider. based in Little rock, Arkansas. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. E1875 (AR). The NPI Number for DR. SOLOMON C MOGBO (M.D) is 1083615348

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. SOLOMON C MOGBO (M.D)
NPI
1083615348
Phone
(501) 537-4590
Address
1401 KANIS PARK DR
Enumeration Date
9 August 2005
Last Update Date
11 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5015374590
Graduation Year
1990 (36 years ago)
PAC ID
0244379493
Professional Enrollment ID
I20091201000027
Address ID
AR722054571LI1401XDRXX400

Contacts

Secure Messaging
smogbodr@arinternalmedicineclinic.direct.edms.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,274 INTERNAL MEDICINE in AR

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Provider Addresses for DR. SOLOMON C MOGBO (M.D)

  • Kanis Park Drive, Brownwood Terrace, Little Rock, Pulaski County, Arkansas, 772211, United States

    STE 200

    LITTLE ROCK, AR 722054571

    Phone: (501) 537-4590

    Fax: (501) 537-4591

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $198.

Total Amount is formed as General ($198) + Research ($0) + Ownership ($0) = $198.

Last reported payment date: 2024-04-01 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($40).

Total Amount

$198

General + Research + Ownership

Payments

10

Total payment records

General Amount

$198

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-01

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091201000027IInternal MedicineARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes76982$0
99214Established patient office or other outpatient visit, 30-39 minutes22078$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes12486$0
99239Hospital discharge day management, more than 30 minutes10268$0
82947Blood glucose (sugar) level8335$0
View full utilization report →

Insurance plans in this area (ZIP 72205)

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Provider's Procedures

DR. SOLOMON C MOGBO (M.D) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEAR85610Blood test, clotting time6013

Reviews

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Frequently asked questions

Is there an official ID for DR. SOLOMON C MOGBO (M.D) in U.S. healthcare records?
The official identifier for DR. SOLOMON C MOGBO (M.D) is NPI 1083615348.
Is DR. SOLOMON C MOGBO (M.D) shown as active in public data?
Registry records indicate DR. SOLOMON C MOGBO (M.D) maintains an active NPI.
How would a patient describe DR. SOLOMON C MOGBO (M.D)'s focus?
For DR. SOLOMON C MOGBO (M.D), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Arkansas is DR. SOLOMON C MOGBO (M.D) registered?
Use Little Rock, Arkansas as the headline location for DR. SOLOMON C MOGBO (M.D) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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